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가습기 살균제 노출 실태와 피해규모 추산

An Estimation of Population at Risk of Exposure to Humidifier Disinfectant and Associated Health Effects

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초록

Objective: This study was designed to estimate the precise nationwide number of those who used humidifier disinfectants (HDs) and experienced specific health effects, including death, due to exposure to HDs in Korea between 1994 and 2011. Methods: A total of 5,000 households (15,472 people) were surveyed by stratifying the sample with a design that is equivalent to nationally approved household systematic sampling and face-to-face interviews from October 16, 2019 to December 30, 2019. Results: The proportion of use of humidifier disinfectants at home was 18.4% (2,844/15,472 people) and the proportion of those who experienced health effects among those who were exposed to HDs was 10.7% (303/ 2,844 people). Based on these factors, it was estimated that 8.94 million people (95% CI=8.25-9.63 million) were exposed to HDs and 0.95 million people (95% CI=0.87-1.02 million) experienced health effects, which means almost one in five and one in fifty Koreans respectively. The estimated number of deaths from HDs were 20,366 people (95% CI=18,801-21,931). Conclusion: The survey was large and analyzed a representative sample across the country, so this estimation of the nationwide population exposed and at risk to HDs is more accurate and reliable than previous studies. However, it is necessary to confirm whether results similar to those of this study can be reproduced through a survey using a cross-sectional survey at the national level. In particular, a survey focused on death cases is needed.

Abstract

Objective: This study was designed to estimate the precise nationwide number of those who used humidifier disinfectants (HDs) and experienced specific health effects, including death, due to exposure to HDs in Korea between 1994 and 2011. Methods: A total of 5,000 households (15,472 people) were surveyed by stratifying the sample with a design that is equivalent to nationally approved household systematic sampling and face-to-face interviews from October 16, 2019 to December 30, 2019. Results: The proportion of use of humidifier disinfectants at home was 18.4% (2,844/15,472 people) and the proportion of those who experienced health effects among those who were exposed to HDs was 10.7% (303/ 2,844 people). Based on these factors, it was estimated that 8.94 million people (95% CI=8.25-9.63 million) were exposed to HDs and 0.95 million people (95% CI=0.87-1.02 million) experienced health effects, which means almost one in five and one in fifty Koreans respectively. The estimated number of deaths from HDs were 20,366 people (95% CI=18,801-21,931). Conclusion: The survey was large and analyzed a representative sample across the country, so this estimation of the nationwide population exposed and at risk to HDs is more accurate and reliable than previous studies. However, it is necessary to confirm whether results similar to those of this study can be reproduced through a survey using a cross-sectional survey at the national level. In particular, a survey focused on death cases is needed.

참고문헌 (14)

  1. 문성제, "가습기살균제로 인한 피해와 국가의 위험관리책임", 소비자문제연구, 45(1), pp.67~88 (2014), 한국소비자원[DOI]
  2. Lung Injury Investigation Committee by the Korean Center for Disease Control, "White paper on health damage by the exposure to humidifier disinfectant", pp.23~ (2014), Hanrimwon
  3. 김지원, "누가 ‘진짜 피해자’인가?: 가습기 살균제 참사에서 피해자 범주의 구성", 비교문화연구, 23(2), pp.5~51 (2017), 비교문화연구소[DOI]
  4. 이인현, "가습기살균제 참사와 미나마타병 사건의 비교 고찰", 한국환경보건학회지, 45(4), pp.326~339 (2019), 한국환경보건학회[DOI]
  5. "11 Additional Victims of Humidifier Disinfectant Were Recognized... Expansion of Diseases Targeted for Damage Such as Bronchitis And Upper Respiratory Disease Group"[URL]
  6. 이은, "Two Series of Familial Cases With Unclassified Interstitial Pneumonia With Fibrosis", Allergy, Asthma & Immunology Research, 4(4), pp.240~244 (2012), 대한천식알레르기학회[DOI]
  7. 김지원, "가습기살균제 참사에 관한 학술연구의 비판적 검토와 다양한 관점의 이해", 한국환경보건학회지, 45(4), pp.340~357 (2019), 한국환경보건학회[DOI]
  8. 최예용, "가습기살균제 피해사건과 교훈", 한국환경보건학회지, 38(02), pp.166~174 (2012), 한국환경보건학회[DOI]
  9. 전병학, "Frequency of Humidifier and Humidifier Disinfectant Usage in Gyeonggi Provine", 환경독성보건학회지, 27, pp.1~4 (2012), 환경독성보건학회
  10. "One-fifth of nation are potential victim by the exposure to humidifier disinfectant"[URL]
  11. Establishing disease identification and standards criteria to expand the range of health hazards caused by the humidifier sterilizer, "Lim JH", National Institute of Environmental Research, 1~210, pp.NIERSP2016-429 (2016)
  12. 최예용, "가습기살균제 참사의 진행과 교훈(Q&A)", 한국환경보건학회지, 43(1), pp.1~22 (2017), 한국환경보건학회
  13. 이경무, "가습기 살균제 노출 및 건강피해 규모 평가 연구", 한국환경보건학회지, 45(3), pp.273~284 (2019), 한국환경보건학회[DOI]
  14. Johnson M, "The Thalidomide Catastrophe: How it Happened, who was Responsible and why the Search for Justice Continues After More Than Six Decades", pp.1~263 (2018), Onwards and Upwards

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